Planning guidance only—not a guarantee. Requirements, network capacity, contracting, and payer review can affect timing and effective dates.
Tufts Health Plan, now operating under the Point32Health brand following its merger with Harvard Pilgrim Health Care in 2021, is one of New England's largest regional health insurers. Point32Health covers approximately 1.5 million members in Massachusetts, New Hampshire, Maine, and Rhode Island, with the Tufts Health Plan brand remaining active for commercial, Medicare Advantage, and MassHealth (Massachusetts Medicaid) products.
For providers practicing in Massachusetts, Tufts Health Plan participation is often among the top three or four commercial credentialing priorities alongside BCBS of Massachusetts, UnitedHealthcare, and Aetna. In certain Boston-area specialties, Tufts' network can be selective, and providers should inquire about network status before investing in a full credentialing application.
The merger with Harvard Pilgrim has created some administrative complexity during the integration period. Providers who were previously enrolled with Tufts Health Plan and Harvard Pilgrim separately may find that Point32Health is consolidating networks, which could affect directory listings and effective dates. Arctic Health monitors the Point32Health integration to provide current guidance.
Tufts Health Plan also administers MassHealth (Massachusetts Medicaid) managed care through its Tufts Health Together product. Providers serving low-income Massachusetts residents should evaluate both commercial Tufts and Tufts Health Together enrollment separately, as they are distinct network tracks with different credentialing criteria.
The enrollment path
Documents to have on hand
Frequently Asked Questions
What is Point32Health and how does it relate to Tufts Health Plan?
Point32Health is the parent organization formed by the 2021 merger of Tufts Health Plan and Harvard Pilgrim Health Care. The Tufts Health Plan and Harvard Pilgrim brands continue to operate under the Point32Health umbrella. Providers should enroll with both brands if they want to participate in both networks, as they remain operationally separate for most credentialing purposes.
Does Tufts Health Plan offer MassHealth (Massachusetts Medicaid) managed care?
Yes. Tufts Health Plan administers MassHealth managed care through its Tufts Health Together product, which serves MassHealth members in Massachusetts. Enrollment in commercial Tufts Health Plan does not automatically include Tufts Health Together — separate enrollment is required for the MassHealth product.
Is Tufts Health Plan's network closed in certain specialties?
Tufts Health Plan manages network panels by specialty and geography, and some specialty networks in the greater Boston area can be closed. Providers should check with Tufts' Provider Relations or contact Arctic Health to verify network status before beginning an application. Network status changes periodically.
These state links are related Arctic Health credentialing guides for this profile’s listed markets. Product availability, plan or network participation, provider types, and open panels vary by location; confirm current requirements directly with the payer before relying on a market listing.
Reviewed by Arctic Health Team , Credentialing Specialists
Last reviewed: September 2026
Information on this page reflects our experience as of September 2026. Credentialing requirements, payer processes, and state regulations may change. Contact us or check the relevant state medical board and payer websites for the most current requirements. This content is for informational purposes only and does not constitute legal or professional advice.